有进有出：二尖瓣心内膜炎后左心室假性动脉瘤
Blood in, blood out: left ventricular pseudoaneurysm following mitral valve endocarditis.
作者信息
Sartipy Ulrik, Ivert Torbjörn, Ugander Martin
机构信息
Department of Cardiothoracic Surgery and Anesthesiology, Karolinska University Hospital, Stockholm, Sweden.
出版信息
Interact Cardiovasc Thorac Surg. 2013 Apr;16(4):547-8. doi: 10.1093/icvts/ivs568. Epub 2013 Jan 17.
A 76-year old male on warfarin due to atrial fibrillation was admitted with Staphylococcus aureus septicaemia. Echocardiography demonstrated mitral valve endocarditis, and shortly thereafter, he suffered an intracranial haemorrhage as a result of septic embolism. Four weeks later, cardiac magnetic resonance imaging revealed a newly formed pseudoaneurysm. A left ventricular pseudoaneurysm caused by infective endocarditis is very rare, but awareness of this unusual complication may allow surgery to prevent rupture.
一名76岁因心房颤动服用华法林的男性因金黄色葡萄球菌败血症入院。超声心动图显示二尖瓣心内膜炎，此后不久，他因脓毒性栓塞发生颅内出血。四周后，心脏磁共振成像显示新形成的假性动脉瘤。感染性心内膜炎引起的左心室假性动脉瘤非常罕见，但认识到这种不寻常的并发症可能有助于通过手术预防破裂。
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